Awareness and Use of South Asian Tobacco Products Among South Asians in New Jersey

Hrywna, Mary; Lewis, M. Jane; Mukherjea, Arnab; Banerjee, Smita C.; Steinberg, Michael B.; Delnevo, Cristine D.

doi:10.1007/s10900-016-0208-4

Cited by 20 publications

(61 citation statements)

References 15 publications

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“…Survey development was informed by review of national and state surveys, as well as the feedback from a series of focus groups [15]. The first draft consisted of ever and current use questions for six “standard” products (i.e., cigarettes, cigars, snuff, chew, pipe, e-cigarettes) and five South Asian products (i.e., bidi, gutka or pan masala, paan or betel quid with tobacco, hookah, supari with tobacco).…”

Section: Methodsmentioning

confidence: 99%

Surveillance of Tobacco Use Among South Asians in the US: Are We Underestimating Prevalence?

et al. 2016

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This study employed a randomized split sample survey to assess the accuracy of standard tobacco surveillance measures among South Asians living in the US. 219 South Asian adults completed a web-based survey of “standard” tobacco use questions, as they appear in national surveillance surveys, and half were randomly assigned to also receive questions about South Asian tobacco products. Prevalence of tobacco use was compared by experimental condition, assessed by only the standard questions for the control group (N = 116) and by both standard and South Asian questions for the experimental group (N = 103). Among the experimental group, sensitivity and negative predictive value (NPV) of the standard use definitions were calculated, considering the inclusive definitions as the “gold standard.” Prevalence of any tobacco product use was higher among the experimental group, as was prevalence of smokeless tobacco (SLT) use, relative to the control group (34.7 vs. 17.2 % and 21.2 vs. 4.3 %, respectively). 70.6 and 33.3 % of true tobacco users (any product) and SLT users were correctly classified by the respective standard product questions. A majority of gutka, paan with tobacco, and supari with tobacco users (69, 86, and 75 %, respectively) did not otherwise endorse the standard SLT questions. Current tobacco surveillance measures may underestimate the use of tobacco in the South Asian population residing in the US. These results indicate that careful consideration must be given to how tobacco-related questions are presented to minority populations.

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Section: Methodsmentioning

confidence: 99%

Surveillance of Tobacco Use Among South Asians in the US: Are We Underestimating Prevalence?

et al. 2016

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“…Four studies also showed that even if respondents were aware of the harmful effects of chewing tobacco and alcohol use, there was scepticism regarding the association of pan/guthka with oral cancer [21,23,26,40]. Similar qualitative findings were reported by Lokhande et al [23], Hrywna et al [40] and Banerjee et al [21] Four studies [26,27,45] found that people perceived betel quid/pan/guthka chewing habit good for their health (12%-43.6%) which makes 'teeth and gum stronger' and believed that it helps them to reduce stress (11.6%-51%), relieve boredom with refreshing feeling (22%-44%). These findings were reiterated by participants in the qualitative studies by Hrywna et al [40] and Banerjee et al [21] :…”

Section: Study Findingsmentioning

confidence: 99%

“…"It has benefit; it can be therapeutic too sometimes," (page 7) [40] ''And there are people who feel good; they think it releases tension/worries. So sometimes I think that having a little can cool your mood if you are feeling angry or annoyed.''…”

Section: Study Findingsmentioning

confidence: 99%

“…I'm sure that's why people use it." (page 7) [40] Respondents perceived few harms associated with areca nut products like dental problems, chest pain, hypertension and kidney stones [28,43].…”

Section: Study Findingsmentioning

confidence: 99%

“…Some studies revealed wide cultural acceptability of areca nut products during festivals celebrations and special occasions (7.1%-18.2%) [25,26,43]. The use of tobacco-related products such as hookah, pan, and supari were found common at social gatherings or after meals [40,43]. Moreover, people believed that society played an important role in influencing their habits [21,23,40] and it was hard to refuse offers of these products [23]:…”

Section: Study Findingsmentioning

confidence: 99%

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Knowledge, attitudes and practices of South Asian immigrants in developed countries regarding oral cancer: An integrative review

Saraswat

Pillay

Everett

et al. 2020

Preprint

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Background Oral cancer is a growing problem worldwide, with high incidence rates in South Asian countries. With increasing numbers of South Asian immigrants in developed countries, a possible rise in oral cancer cases is expected given the high prevalence in their source countries and the continued oral cancer risk behaviours of immigrants. The aim of this review is to synthesise existing evidence regarding knowledge, attitudes and practices of South Asian immigrants in developed countries regarding oral cancer. Methods Four electronic databases were systematically searched to identify original, English language articles focussing on oral cancer risk knowledge, attitudes and practices of South Asian immigrants in developed countries. All studies that met the following inclusion criteria were included: conducted among South Asian immigrants in developed countries; explored at least one study outcome (knowledge or attitudes or practices); used either qualitative, quantitative or mixed methods. No restrictions were placed on the publication date, quality and setting of the study. Results A total of 14 studies involving 4224 participants were reviewed. These studies were mainly conducted in the USA, UK, Italy and New Zealand between 1994-2018. Findings were categorised into themes of oral cancer knowledge, attitudes and practices. General lack of oral cancer knowledge (50%-76%) among participants was reported. More than 50% people were found engaging in one or more oral cancer risk practices like smoking, betel quid/pan/guthka chewing. Some of the participants perceived betel quid/pan/guthka chewing habit good for their health (12%-43.6%). Conclusion This review has shown that oral cancer risk practices are prevalent among South Asian immigrants who possess limited knowledge and unfavourable attitude in this area. Culturally appropriate targeted interventions and strategies are needed to raise oral cancer awareness among South Asian communities in developed countries.

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Contextual Factors Related to Conventional and Traditional Tobacco Use Among California Asian Indian Immigrants

Patel

Mistry

Maxwell³

et al. 2017

J Community Health

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California's tobacco control program contracted for tobacco use surveillance of Asian Indian Americans to address the paucity of information about tobacco use in this community, given their growing proportion of California's population. This study examined correlates of conventional (CTU) and Asian Indian traditional tobacco use (TTU) in a population-based sample of predominantly immigrant Asian Indian adults residing in California (N = 3228). The analytic sample (n = 2140) was limited to self-identified immigrants from India. Descriptive statistics, bivariate analyses, and multivariate logistic regressions were conducted to examine correlates of tobacco use among Asian Indian immigrants related to their acculturation and religious affiliation. While 65% of the sample had ever used traditional tobacco products (paan masala, gutka, bidis), only 25% had ever used conventional tobacco (cigarettes, cigar, pipe, chewing tobacco, snuff). Less than 5% reported tobacco use in the past 30 days. Rates of ever TTU and CTU were higher among men than women. Ethnic enclave residence was not associated with tobacco use. Impaired mental health was associated with CTU, and number of years spent in the U.S. was positively associated with both CTU and TTU. Individuals affiliated with Sikhism were less likely to use tobacco than individuals affiliated with Hinduism. Few population-based studies in the U.S. address both CTU and TTU use among Asian Indian immigrants. Tobacco use in Asian Indian immigrants may be seriously underestimated if surveillance is limited to conventional tobacco products. Interventions to reduce tobacco use should address mental health issues and consider religious affiliation.

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Awareness and Use of South Asian Tobacco Products Among South Asians in New Jersey

Cited by 20 publications

References 15 publications

Surveillance of Tobacco Use Among South Asians in the US: Are We Underestimating Prevalence?

Surveillance of Tobacco Use Among South Asians in the US: Are We Underestimating Prevalence?

Knowledge, attitudes and practices of South Asian immigrants in developed countries regarding oral cancer: An integrative review

Contextual Factors Related to Conventional and Traditional Tobacco Use Among California Asian Indian Immigrants

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